B-SAFER: A Web-Based Intervention for Drug Use and Intimate Partner Violence Demonstrates Feasibility and Acceptability among Women in the Emergency Department

BACKGROUND:

Addressing violence along with drug use change goals is critical for women with coexisting intimate partner violence (IPV) and substance use disorders (SUD).

METHODS:

This was an acceptability and feasibility study of BSAFER, a brief Web-based program and booster phone call addressing violence and drug use. A screening survey identified women with recent drug use and IPV in the emergency department (ED). Participants were randomized to BSAFER or a Web-based control program and booster call providing education about home fire safety. Program completion, usability, satisfaction and MI adherence were primary outcomes. Drug use and IPV outcomes were measured at baseline, one and three months.

RESULTS:

Forty women were enrolled (21 BSAFER, 19 control); 50% were non-white and mean age was 30 years. Most commonly used drugs were marijuana (88%) and cocaine (30%); 45% reported physical abuse and 33% severe combined physical and sexual abuse. Thirty-nine (98%) completed the Web program, 30 (75%) completed the booster, and 29 (73%) completed 3-month follow up. Mean System Usability Scale (SUS) for the BSAFER Web program was 84 (95% CI 78-89) of 100; mean Client Satisfaction Questionnaire (CSQ-8) was 28 (95% CI 26-29) of 32. MI adherence scores were high and similar for both the Web program and the booster. Both intervention and control groups had small mean decreases in weekly drug use days (0.7 days vs. 1.5 days); participants using drugs other than marijuana demonstrated greater average reductions in drug use than those using marijuana only.

CONCLUSIONS:

An ED Web-based intervention for SUD and IPV in women demonstrated feasibility and acceptability. Future studies will examine efficacy of the BSAFER program and investigate whether specific subgroups of drug using women may be most responsive to ED-based Web interventions.

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By:   Choo EK1,2,3, Zlotnick C4, Strong DR5, Squires DD3, Tapé C1, Mello MJ2,3.

• 1 Division of Sex and Gender in Emergency Medicine, Department of Emergency Medicine , Warren Alpert Medical School of Brown University , Providence , RI , USA .
• 2 Injury Prevention Center, Department of Emergency Medicine , Warren Alpert Medical School of Brown University , Providence , RI , USA.
• 3 Brown University School of Public Health , Providence , RI , USA.
• 4 Brown University Department of Psychiatry & Human Behavior , Providence , RI , USA.
• 5 Division of Behavioral Medicine, Department of Family Medicine and Public Health , University of Southern California , Los Angeles , CA , USA.

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